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复杂肝胆管结石症多次手术后合并胆汁性肝硬变门脉高压的处理 被引量:6

MANAGEMENT OF COMPLEX INTRAHEPATOLITHIASIS WITH BILIARY LIVER CIRRHOSIS AND PORTAL HYPERTENSION
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摘要 目的 探讨复杂肝内胆管结石并胆汁性肝硬变的外科处理方案。方法 对 1例复杂肝内胆管结石多次手术后并胆汁性肝硬变门脉高压患者进行了再次手术治疗。结果 进行了脾切除门奇断流 ,左肝叶切除及肝门原位整形T管引流后随访 1年半 ,无胆管炎发生 ,迄今亦无复发征象。 Objective To discuss the therapeutic effectiveness of surgical approach to complex intrahepatolithiasis with biliary liver cirrhosis.Methods A case of complex intrahepatolithiasis with biliary liver cirrohosis, portal hypertension was treated with splenectomy and pericardial devascularization plus left hepatectomy and portal cholangio plasty with T tube drainage. Results Follow up one year and a half after operation, no symptom of cholangitis was found, and there is no relapse up to date. Conclusion Combined operation of hepatectomy with splenectomy is an ideal and effective treatment for complex intrahepatolithiasis with biliary liver cirrhosis.
出处 《中国普外基础与临床杂志》 CAS 2000年第2期109-111,共3页 Chinese Journal of Bases and Clinics In General Surgery
关键词 肝内胆管结石 并发症 门脉高压症 胆汁性 Intrahepatolithiasis Hepatectomy Splenectomy
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